Download Early Detection and Prevention – Breast Cancer – Frank Nagy

Susan G. Komen®
Central and Northern Arizona
Frank Nagy, Mission Director
WHY IS EARLY DETECTION IMPORTANT?
WHY IS EARLY DETECTION IMPORTANT?
Regular screening tests (along with follow-up tests and treatment if diagnosed)
reduce your chance of dying from breast cancer. After all, screening tests can find
breast cancer early, when the chances of survival are highest.
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WHY IS EARLY DETECTION IMPORTANT?
•
Greatly increases the chances for successful treatment
•
Often less costly to treat when caught at early stage
•
Treatment less invasive and shorter duration, less opportunity for adverse
effects, complications
American Cancer Society
Last Medical Review: 09/25/2014
STAGE
5-year Relative
Survival Rate
0
100%
I
100%
II
93%
III
72%
IV
22%
Last Revised: 02/26/2015
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EARLY DETECTION SAVES LIVES
•
Early detection and effective treatment have
resulted in a decline in breast cancer
mortality in the U.S. – 34 percent since
1990!
•
There are more than 3.1 million breast
cancer survivors in the U.S. today.
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HOW DO WE SUPPORT AND PROMOTE
EARLY DETECTION?
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HOW DO WE SUPPORT AND PROMOTE EARLY
DETECTION?
•
Patient Education
•
Provider Education
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HOW DO WE SUPPORT AND PROMOTE EARLY
DETECTION?
•
Become educated and familiar with Breast Self Awareness (BSA) messaging
•
Be clear and understand the breast cancer screening guidelines
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BREAST SELF AWARENESS MESSAGING
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HOW DO WE SUPPORT AND PROMOTE EARLY
DETECTION?
BREAST SELF AWARENESS:
1.Know your risk
2.Get screened
3.Know what is normal for you
4.Make healthy lifestyle choices
Komen Central and Northern Arizona
Breast Self Awareness Messaging
KNOW YOUR RISK:
The most common risk factors are being female and getting older. There are known
risk factors that you can control and others you cannot change.
•
Talk to both sides of your family about your family health history
•
Talk to your doctor about your personal risk of breast cancer
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Breast Self Awareness Messaging
GET SCREENED:
•
Talk with your doctor about which screening tests are right for you if you are at
higher risk
•
Have a mammogram every year starting at age 40 if you are at average risk
•
Have a clinical breast exam at least every 3 years starting at age 20, and every
year starting at age 40
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Breast Self Awareness Messaging
KNOW WHATS RIGHT FOR YOU:
•
Know how your breasts look and feel and report any changes to your health
care provider
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Breast Self Awareness Messaging
MAKE HEALTHY LIFESTYLE CHOICES:
•
Maintain a healthy weight
•
Add exercise into your routine
•
Limit alcohol intake
•
Limit the use of menopausal hormones
•
Breastfeed, if you can
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BREAST CANCER MAMMOGRAPHY
SCREENING GUIDLINES
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Mammography Screening Guidelines
Susan G. Komen Supports
Annual screening mammograms for women 40 yrs. or older of average risk.
American Cancer Society Supports
Annual screening mammograms for women 40 yrs. or older of average risk
United States Preventative Services Task Force (USPSTF) Supports
Biannual screening mammograms for women beginning 50 years or older.
Komen Central and Northern Arizona
Mammography Screening Guidelines
Komen’s concern with USPSTF guidelines recommendations
1) FINANCIAL ISSUES
2) VIGILANCE
3) IMPACT ON MINORITY/DISPARATE POPULATIONS
4) “ONE-SIZE-DOES-NOT-FIT-ALL”
Komen Central and Northern Arizona
Mammography Screening Guidelines
1) FINANCIAL ISSUES:
•
USPSTF recommendations are often used by insurance companies and
government programs to determine payment for screening tests, we remain
concerned that these tests will not be paid for.
•
This creates a potential economic barrier for women who, with their healthcare
providers, want or need screenings at an earlier age.
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Mammography Screening Guidelines
2) VIGILANCE:
•
Women and their health care providers may view an age 50 guideline as an
indicator that they don’t need to worry about breast cancer risk until age 50.
•
Women should be aware of their risk and talking about it with their health care
providers at much earlier ages. And health care providers should have complete
information about breast cancer risk so that they can make screening
recommendations appropriate for their individual patients.
Komen Central and Northern Arizona
Mammography Screening Guidelines
3) IMPACT ON MINORITY/DISPARATE POPULATIONS:
•
The impact of delaying screenings would be especially troublesome for minority
women and younger women who are often diagnosed with more aggressive
forms of breast cancer before age 50.
•
African American women, for example, are diagnosed with breast cancer at
earlier ages on average than white women and are more likely to be diagnosed
with Triple Negative Breast Cancer, an aggressive form of the disease.
•
The benefits of early detection and effective treatment are well established: our
goal is to detect breast cancer at its earliest stages, when there are more
options for treatment.
i.
This is one reason Komen continues to advocate for expansion of the
National Breast and Cervical Cancer Early Detection Program which
provides screenings for low-income women.
Komen Central and Northern Arizona
Mammography Screening Guidelines
4) “ONE-SIZE-DOES-NOT-FIT-ALL”
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Just as breast cancer treatment has evolved from the “one-size-fits-all”
approach of past years to more personalized and targeted therapies, breast
cancer screening is evolving as well.
•
Today, we have a greater understanding of risk factors such as genetic
mutations, family history and exposure to radiation at a young age. It is
becoming increasingly apparent that screening recommendations relying on age
alone should not be the only standard. Any recommendations must take into
account an assessment of an individual’s risk for breast cancer.
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WHAT DOES ALL THIS MEAN
If we can catch cancer at its early stage when it is most
treatable we improve health outcomes and reduce costs.
How do we catch cancer breast cancer early?
By promoting both Breast Self Awareness (BSA) and recommending appropriate
screening at appropriate age.
Is this just the responsibility of the patient or provider?
NO!
Patients
• need to know what looks right feels right as well as ask for appropriate
screenings.
Providers
• (gate keepers for screenings) need to be sure those who should be
screened are being screened. Understand and know the breast cancer
screening guidelines. Encourage patients to be breast self aware and report
any changes or concerns.
Komen Central and Northern Arizona
KOMEN FUNDED
CHANGE PACKAGE TOOLKIT
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Change Package Toolkit
What is it?
This Change Package shares recommended interventions and successful strategies
that have been tested and documented, and can be used by clinics certified as
patient-centered medical homes or in the process of adopting those standards. The
package includes step-by-step instructions, examples,and resources to implement
breast health process improvement programs for rapid innovation at
your primary care clinic. While focused on breast health screening improvement, we
encourage you to use these practices with any patient population and preventive
screening protocol.
Komen Central and Northern Arizona
HOW CAN THE CHANGE PACKAGE TOOLKIT BE
HELPFUL?
1. Define the Population
2. Access to Screening Appointments and Building Capacity
3. Determine a Data Collection Plan to Measure Progress
4. Patient Navigation at the Clinic Level
5. One-to-One Relationship between Clinic and Screening Facility
6. Process Improvement Meetings with the Clinic Project Team
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CONTACT INFORMATION
Frank Nagy
602-544-2873
[email protected]
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Questions?
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